MEDICARE: AARON HOCKLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	288573	NY

General Provider Information

NPI Number	:	1023534625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON HOCKLEY MD

Provider Business Mailing Address
First Line	:	306 E 15TH ST APT 4R
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-4029
Country	:	US
Telephone Number	:	604-781-4852
Fax Number	:

Provider Business Practice Location Address
First Line	:	306 E 15TH ST APT 4R
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-4029
Country	:	US
Telephone Number	:	604-781-4852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	07/21/2022

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